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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1992-11-19
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pubmed:abstractText |
Cutaneous B-cell lymphomas are rare neoplasms that can present as lesions involving solely the skin or develop in association with a systemic lymphoma. Histologically they are often difficult to differentiate from pseudolymphomas, and the use of immunohistochemistry may be necessary to correctly classify them. We report a study of multiple skin lesions in a patient who initially presented with multiple pseudolymphomas, apparently associated with an immune response to the dye of his tattoos. Over a period of 4 years his skin lesions evolved from histologically benign and immunologically polyclonal pseudolymphomas to a histologically malignant and immunologically monoclonal B-cell large cell lymphoma. Genotypic analysis with a probe for the heavy-chain immunoglobulin gene demonstrated the presence of clonal B-cell populations in all of the pseudolymphoma biopsy samples as well as in the subsequent lymphoma tissue samples, with a pattern of clonal bands suggestive of evolution of the B-cell clones. These findings suggest that the development of B-cell lymphoma in this patient was related to a persistent abnormal immune response to the chronic antigenic stimulus of the dye of the tattoo. The presence of clonal B-cell populations in pseudolymphoma by Southern blot analysis may be useful in predicting those patients who will subsequently develop overt lymphoma.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0193-1091
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
408-13
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1415958-Blotting, Southern,
pubmed-meshheading:1415958-Gene Rearrangement,
pubmed-meshheading:1415958-Genes, Immunoglobulin,
pubmed-meshheading:1415958-Humans,
pubmed-meshheading:1415958-Immunohistochemistry,
pubmed-meshheading:1415958-Immunophenotyping,
pubmed-meshheading:1415958-Lymphoma,
pubmed-meshheading:1415958-Lymphoma, B-Cell,
pubmed-meshheading:1415958-Male,
pubmed-meshheading:1415958-Middle Aged,
pubmed-meshheading:1415958-Neoplasms, Second Primary,
pubmed-meshheading:1415958-Skin Neoplasms,
pubmed-meshheading:1415958-Tattooing
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pubmed:year |
1992
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pubmed:articleTitle |
Evolution of B-cell lymphoma from pseudolymphoma. A multidisciplinary approach using histology, immunohistochemistry, and Southern blot analysis.
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pubmed:affiliation |
Department of Pathology, Oregon Health Sciences University, Portland 97201.
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pubmed:publicationType |
Journal Article,
Case Reports
|